Individual
AMANDA C BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.CCC-SLP
Contact information
Practice address
201 WATERMERE DR, SOUTHLAKE, TX 76092-8137
(817) 482-1340
Mailing address
201 WATERMERE DR, SOUTHLAKE, TX 76092-8137
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
105194
TX
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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